Tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins and nutritional supplements you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Tell your doctor what herbal products you are taking, especially St. John's wort.

What to avoid

Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.

ED dosage for occasional use

When to take

Tell your doctor if you smoke; if you have ever had an erection that lasted more than four hours; and if you have recently had diarrhea, vomiting, not been drinking enough fluids or sweating a lot, which may have caused dehydration (loss of a large amount of body fluids). Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina (chest pain); a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); or heart, kidney or liver disease. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see.

  • It is important to distinguish between the on-demand 40 mg dose and the lower daily doses.
  • Counterfeit pills may contain incorrect dosages, wrong active ingredients, or harmful substances.
  • The half-life of tadalafil is approximately 17.5 hours, contributing to its long duration.
  • Patients with Peyronie's disease or anatomical deformations of the penis should use caution.
  • A sudden decrease or loss of vision in one or both eyes is a sign of NAION and is a medical emergency.

If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. Talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil. If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat and low blood pressure.

Condition Risk Level Recommended Action Notes
Concomitant nitrate use High Do not use Cardiac risk
Severe liver impairment Moderate Consult doctor Dose adjustment needed
Uncontrolled hypotension High Avoid use Risk of fainting
Recent stroke or heart attack Moderate Medical review required Risk of recurrence

If you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid buy cialis 2 5mg online sexual activity until your doctor tells you otherwise. Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets.

Brand / Supplier Price per Tablet Price for Pack of 10 Discount Offers Notes
Supplier A $2.50 $25 10% off on bulk Online purchase available
Supplier B $3.00 $30 First-time buyer discount Wholesale options
Local Pharmacy $4.00 N/A N/A May vary by location

If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell all your healthcare providers that you are taking tadalafil.

  • Generic Cialis 40 mg is used to treat erectile dysfunction effectively.
  • It contains the active ingredient Tadalafil, providing long-lasting effects.
  • The medication is typically prescribed for men over 18.
  • Take Cialis 40 mg approximately 30 minutes before sexual activity.
  • Do not exceed one dose per 24 hours to avoid adverse effects.
  • Cialis 40 mg is available by prescription and should be used under medical supervision.
  • Common side effects include headache, flushing, and nasal congestion.
  • Cialis can interact with certain medications like nitrates, so inform your doctor.
  • This dosage is generally prescribed for severe cases or as advised by a doctor.
  • Avoid alcohol consumption while taking Cialis to reduce side effects.
  • Store Cialis 40 mg in a cool, dry place away from children.
  • Cialis may cause rare side effects like sudden vision loss; seek immediate medical help if occurs.

If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose or more than one dose per day to make up for a missed one.22 If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it. Do not take a double dose or more than one dose per day to make up for a missed one.22 Tell your doctor if any of these symptoms are severe or do not go away: Headache Indigestion or heartburn Nausea Diarrhea Flushing Pain in the stomach, back, muscles, arms or legs Cough Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment: Sudden decrease or loss of vision (see below for more information) Blurred vision Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Sudden decrease or loss of hearing (see below for more information) Ringing in ears Erection that lasts longer than four hours Dizziness Chest pain Hives Rash Difficulty breathing or swallowing Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles or lower legs Blistering or peeling of skin Some patients experienced a sudden loss of some or all their vision after they took tadalafil or other medications that are similar to tadalafil. The vision loss was permanent in some cases. It is not known if the vision loss was caused by the medication. If you experience a sudden loss of vision while you are taking tadalafil, call your doctor immediately or get emergency medical treatment.

Product Dosage Quantity + Bonus Price
Cialis Soft Tabs20mg60 + 4 Pills159.37€ 151.78€
Cialis Black80mg30 + 2 Pills89.11€ 84.87€
Cialis Generic5mg270 + 10 Pills205.81€ 196.01€
Cialis Generic2.5mg20 Pills40.73€ 38.79€
Cialis Black80mg10 Pills43.27€ 41.21€
Cialis Generic10mg180 + 8 Pills236.88€ 225.60€
Cialis Generic40mg180 + 10 Pills277.29€ 264.09€
Cialis Professional40mg90 + 2 Pills348.59€ 331.99€
Cialis Generic20mg270 + 10 Pills335.21€ 319.25€
Cialis Black80mg270 + 10 Pills502.88€ 478.93€
Cialis Generic40mg30 + 4 Pills74.97€ 71.40€
Cialis Generic2.5mg90 + 6 Pills112.43€ 107.08€
Cialis Professional20mg180 + 4 Pills423.11€ 402.96€
Cialis Generic2.5mg180 + 10 Pills154.86€ 147.49€
Cialis Generic40mg90 + 6 Pills171.35€ 163.19€
Cialis Generic60mg10 Pills41.22€ 39.26€
Cialis Super Active20mg30 + 6 Pills128.09€ 121.99€

Do not take any more doses of tadalafil or similar medications such as sildenafil (Revatio®, Viagra®) or vardenafil (Levitra®) until you talk to your doctor. Some patients experienced a sudden decrease or loss of hearing after they took tadalafil or other medications that are similar to tadalafil.

  • Cialis 40 mg is a common dosage for men with severe erectile issues.
  • It helps increase blood flow to improve erection quality.
  • The medication is discreet and can be taken as needed or daily as prescribed.
  • Always complete a full course of treatment for best results.
  • It’s important to discuss all medications you take to avoid harmful interactions.
  • Cialis may cause fainting in some users, especially with certain conditions.
  • Stay hydrated and avoid alcohol to minimize side effects.
  • The medication’s effects can last from 24 to 36 hours.
  • It can be used safely in most men, but always under medical supervision.
  • Overdose symptoms include severe dizziness, prolonged erections, or chest pain.
  • Ensure you follow storage instructions to maintain efficacy.
  • Report any unusual symptoms to your healthcare provider immediately.

The hearing loss usually involved only one ear and did not always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication. If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking tadalafil, call your doctor immediately. Call your doctor if you have any unusual problems while cialis no perscription taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Tell your doctor if any of these symptoms are severe or do not go away: Pain in the stomach, back, muscles, arms or legs Pain in the stomach, back, muscles, arms or legs If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment: Sudden decrease or loss of vision (see below for more information) Sudden decrease or loss of vision (see below for more information) Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Sudden decrease or loss of hearing (see below for more information) Sudden decrease or loss of hearing (see below for more information) Erection that lasts longer than four hours Erection that lasts longer than four hours Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles or lower legs Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles or lower legs Some patients experienced a sudden loss of some or all their vision after they took tadalafil or other medications that are similar to tadalafil. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Keep this medication in the container it came in, tightly closed and out of reach of children.

Cialis Online: Accessibility and Awareness

Tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins and nutritional supplements you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Tell your doctor what herbal products you are taking, especially St. John's wort. Tell your doctor if you smoke; if you have ever had an erection that lasted more than four hours; and if you have recently had diarrhea, vomiting, not been drinking enough fluids or sweating a lot, which may have caused dehydration (loss of a large amount of body fluids).

What is priapism?

Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); any condition that affects the shape of the penis; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack or heart failure; angina (chest pain); a stroke; ulcers in the stomach; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); or heart, kidney or liver disease. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tadalafil. Talk to your doctor about the safe use of alcoholic beverages during your treatment with tadalafil. If you drink a large amount of alcohol (more than five glasses of wine or five shots of whiskey) while you are taking tadalafil you are more likely to experience certain side effects of tadalafil such as dizziness, headache, fast heartbeat and low blood pressure.

What are the most common side effects of tadalafil?

If you are taking tadalafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness or nausea during sexual activity, call your doctor immediately or get emergency medical treatment, and avoid buy cialis 2 5mg online sexual activity until your doctor tells you otherwise. Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Unneeded medications should be disposed of in special ways to ensure that pets, children and other people cannot consume them.

Before taking this medicine

Tell your doctor and pharmacist if you are allergic to tadalafil, any other medications or any of the ingredients in tadalafil tablets. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Tell all your healthcare providers that you are taking tadalafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took tadalafil.20 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine, as it may change the amount of medicine that is absorbed by your body.21 If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose or more than one dose per day to make up for a missed one.22 If you are taking tadalafil for erectile dysfunction on a regular schedule, take the missed dose as soon as you remember it.

Dosage for erectile dysfunction (ED)

Do not take a double dose or more than one dose per day to make up for a missed one.22 Tell your doctor if any of these symptoms are severe or do not go away: Headache Indigestion or heartburn Nausea Diarrhea Flushing Pain in the stomach, back, muscles, arms or legs Cough Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment: Sudden decrease or loss of vision (see below for more information) Blurred vision Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Sudden decrease or loss of hearing (see below for more information) Ringing in ears Erection that lasts longer than four hours Dizziness Chest pain Hives Rash Difficulty breathing or swallowing Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles or lower legs Blistering or peeling of skin Some patients experienced a sudden loss of some or all their vision after they took tadalafil or other medications that are similar to tadalafil. The vision loss was permanent in some cases. It is not known if the vision loss was caused by the medication. If you experience a sudden loss of vision while you are taking tadalafil, call your doctor immediately or get emergency medical treatment.

It’s in your system for a while and clears slowly

Do not take any more doses of tadalafil or similar medications such as sildenafil (Revatio®, Viagra®) or vardenafil (Levitra®) until you talk to your doctor. Some patients experienced a sudden decrease or loss of hearing after they took tadalafil or other medications that are similar to tadalafil. The hearing loss usually involved only one ear and did not always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication. If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking tadalafil, call your doctor immediately. However, you should not flush this medication down the toilet.

How to Take Cialis 40 mg

Call your doctor if you have any unusual problems while cialis no perscription taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Tell your doctor if any of these symptoms are severe or do not go away: Pain in the stomach, back, muscles, arms or legs Pain in the stomach, back, muscles, arms or legs If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment: Sudden decrease or loss of vision (see below for more information) Sudden decrease or loss of vision (see below for more information) Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Sudden decrease or loss of hearing (see below for more information) Sudden decrease or loss of hearing (see below for more information) Erection that lasts longer than four hours Erection that lasts longer than four hours Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles or lower legs Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles or lower legs Some patients experienced a sudden loss of some or all their vision after they took tadalafil or other medications that are similar to tadalafil. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Keep this medication in the container it came in, tightly closed and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Unneeded medications should be disposed of in special ways to ensure that pets, children and other people cannot consume them.

How is tadalafil supplied (dosage forms)?

However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website ( for more information if you do not have access to a take-back program. It is important to keep all medication out of sight and reach of children, as many containers (such as weekly pill minders and those for eye drops, creams, patches and inhalers) are not child-resistant and young children can open them easily.

How to avoid Cialis side effects

To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is out of their sight and reach. Keep this medication in the container it came in, tightly closed and out of reach of children. In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing or can't be awakened, immediately call emergency services at 911.25 In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing or can't be awakened, immediately call emergency services at 911.25 Do not let anyone else take your medication. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website ( for more information if you do not have access to a take-back program. It is important to keep all medication out of sight and reach of children, as many containers (such as weekly pill minders and those for eye drops, creams, patches and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is out of their sight and reach. Keep this medication in the container it came in, tightly closed and out of reach of children. In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing or can't be awakened, immediately call emergency services at 911.25 In case of overdose, call the poison control helpline at 1-800-222-1222.

  • Cialis 40 mg can be effective for enhancing male sexual performance.
  • It’s important to know that sexual stimulation is necessary for an erection.
  • Avoid taking Cialis if you experience chest pain or have recent heart attack symptoms.
  • Consult your doctor if you experience vision changes or ear ringing.
  • The drug should be used with caution if you have liver or kidney disease.
  • Avoid high-fat meals around the time of taking Cialis to ensure proper absorption.
  • You may experience flushing or indigestion as common side effects.
  • Inform your partner about medication use to ensure mutual understanding.
  • Use Cialis responsibly to avoid psychological dependence.
  • Do not take more than the prescribed dose to prevent overdose risks.
  • Monitor for changes in blood pressure levels and report to your doctor.
  • Always keep your healthcare provider informed of all health changes.

Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing or can't be awakened, immediately call emergency services at 911.25 Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.